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Previous Volume 351:594-599 August 5, 2004 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows.

A 53-year-old woman presented to an outpatient urgent care clinic with persistent nausea and vomiting. On the previous evening, she had had an acute onset of nausea that was followed by vomiting and light-headedness. The vomiting had occurred approximately every hour for 18 hours. She had mild discomfort in the chest and abdomen but reported no headache, fever, chills, diarrhea, shortness of . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Medicine, Harvard Vanguard Medical Associates and Brigham and Women's Hospital (L.S.N., H.E.L.); and the Division of Cardiovascular Medicine, Brigham and Women's Hospital (M.W.F.) — both in Boston.

Address reprint requests to Dr. Newman at Brigham and Women's Hospital, 75 Francis St., Boston, MA 02115, or at lnewman1@partners.org.

Related Letters:

A Bitter Tale
Goyal S. B., Spodick D., Ritter M. M., Newman L. S., Feinberg M. W., LeWine H. E.
Extract | Full Text | PDF  
N Engl J Med 2005; 352:97-98, Jan 6, 2005. Correspondence

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• Goyal, S. B., Spodick, D., Ritter, M. M., Newman, L. S., Feinberg, M. W., LeWine, H. E. (2005). A Bitter Tale. NEJM 352: 97-98 [Full Text]